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General NPI Number Information
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NPI Number | 1578518049
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Entity Type | Individual
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Provider Name | PETER MUSCARELLA II M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1711 27TH ST STE 402
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2669
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Country | US
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Telephone | 740-356-3562
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Fax | 740-356-1279
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Provider Business Mailing Address
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Address Line | 620 10TH ST STE 704
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City | NIAGARA FALLS
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State | NY
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Zip | 14301-1841
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Country | US
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Telephone | 716-278-4402
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Fax | 716-278-4364
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 275955
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.068335
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License Number State | OH
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